G. Property Location H. Settlement Agent: name, address. I. Settlement Date:

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1 A. HUD-1 Settlement Statement U.S. Department Of Housing And Urban Development OMB No Computer form published by Law Disks, B. Type Of Loan: 6. File Number 7. Loan Number 8. Mortgage Insurance Case Number [X] FHA C. Note: this form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked "(P.O.C.)" were paid outside the closing. They are shown here for informational purposes and are not included in the totals. D. Name and address of borrower(s) E. Name, address of seller(s) F. Name and address of lender G. Property Location H. Settlement Agent: name, address I. Settlement Date: Place of Settlement Office of Settlement Agent, above J. Summary Of 's Transaction K. Summary Of 's Transaction 100 Gross Amount Due From : 400 Gross Amount Due To : 101 Contract sales price 401 Contract sales price 102 Personal property 402 Personal property 103 settlement charges (line 1400) Adjustments for items paid by seller in advance Adjustments for items paid by seller in advance 106 City/town taxes 406 City/town taxes 107 County taxes 407 County taxes 108 Assessments 408 Assessments Gross Amount Due From 420 Gross Amount Due To 200 Amounts Paid By Or On Behalf Of : 500 Reductions In Amount Due To 201 Deposit or earnest money 501 Excess deposit (see instructions) 202 Principal amount of new loan(s) 502 Settlement charges to seller (line 1400) 203 Existing loan(s) taken subject to 503 Existing loan(s) taken subject to Payoff of first mortgage loan Payoff of second mortgage loan Adjustments For Items Unpaid By Adjustments For Items Unpaid By 210 City/town taxes to 510 City/town taxes to 211 County taxes to 511 County taxes to 212 Assessments to 512 Assessments to Total Paid By/For 520 Total Reduction In Amount Due 300 Cash At Settlement From/To 600 Cash At Settlement To/From 301 Gross amt due from borrower (Ln 120) 601 Gross amt due to seller (Ln 420) 302 Less amt paid by/for borrower (Ln 220) 602 Less reduction in amt due seller (Ln 520) 303 Cash [X] FROM 603 Cash [X] TO

2 L. Settlement Charges 700 Total Real Estate Broker's Fees Paid From Paid From Division of Commission (line 700) as follows: s s 701 $ to Funds At Funds At 702 $ to Settlement Settlement 703 Commission paid at settlement Items Payable In Connection With Loan 801 Our origination charge $ (from GFE#1) 802 Your credit or charge (points) for the specific interest rate chosen $ (from GFE#2) 803 Your adjusted origination charges (from GFE A) 804 Appraisal fee to (from GFE#3) 805 Credit report to (from GFE#3) 806 Tax service to (from GFE#3) 807 Flood certification (from GFE#3) Items Required By Lender To Be Paid In Advance 901 Daily interest charges from $ /day (from GFE#10) 902 Mortgage insurance premium for months to (from GFE#3) 903 Homeowner s insurance for years to (from GFE#11) 904 years to Reserves Deposited With Lender 1001 Initial deposit for your escrow account (from GFE#9) 1002 Homeowner s insurance $ per month = $ 1003 Mortgage insurance for $ per month = $ 1004 Property taxes $ per month = $ 1005 $ per month = $ 1006 $ per month = $ 1007 Aggregate Adjustment Title Charges 1101Title services and lender s title insurance (from GFE#4) 1102 Settlement or closing fee 1103 Owner s title insurance (from GFE#5) 1104 Lender s title insurance $ 1105 Lender s title policy limit $ 1106 Owner s title policy limit $ 1107 Agent s portion of total title insurance premium to $ 1108 Underwriter s portion of total title insurance premium to $ Government Recording And Transfer Charges 1201 Government recording fees: (from GFE#7) 1202 Deed $ Mortgage $ Releases $ 1203 Transfer taxes (from GEF#8) 1204 City/county tax/stamps Deed $ Mortgage $ 1205 State tax/stamps Deed $ Mortgage $ Additional Settlement Charges 1301 Required services that you can shop for (from GFE#6) Total Settlement Charges (enter on lines 103, Section J and 502, Section K).

3 Comparison of Good Faith Estimate (GFE) and HUD-1 Charges Good Faith Estimate HUD-1 Charges That Cannot Increase HUD-1 Line Number Our origination charge # 801 Your credit or charge (points) for the specific interest rate chosen # 802 Your adjusted origination charges # 803 Transfer taxes #1203 Charges That in Total Cannot Increase More Than 10% Good Faith Estimate HUD-1 Government recording charges # 1201 Total Increase between GFE and HUD-1 Charges $ Or % Charges That Can Change Good Faith Estimate HUD-1 Initial deposit for your escrow account #1001 Daily interest charges # 901 $ /day Homeowner s insurance # 903 Loan Terms Your initial loan amount is $ Your loan term is Your initial interest rate is % Your initial monthly amount owed for principal, interest, and any mortgage insurance is years $ includes Principal Interest Mortgage Insurance Can your interest rate rise? No. Yes, it can rise to a maximum of %. The first change will be on and can change again every after. Every change date, your interest rate can increase or decrease by %. Over the life of the loan, your interest rate is guaranteed to never be lower than % or higher than %. Even if you make payments on time, can your loan balance rise? No. Yes, it can rise to a maximum of $ Even if you make payments on time, can your monthly amount owed for principal, interest, and mortgage insurance rise? No. Yes, the first increase can be on and the monthly amount owed can rise to $. The maximum it can ever rise to is $ Does your loan have a prepayment penalty? No. Yes, your maximum prepayment penalty is $. Does your loan have a balloon payment? No. Yes, you have a balloon payment of $ due in years on Total monthly amount owed including escrow account payments. You do not have a monthly escrow payment for items, such as property taxes and homeowner s insurance. You must pay these items directly yourself. You have an additional monthly escrow payment of $ that results in a total initial monthly amount owed of $. This includes principal, interest, any mortgage insurance and any items checked below: Property taxes Flood insurance Homeowner s insurance Note: If you have any questions about the Settlement Charges and Loan Terms listed on this form, please contact your lender.

4 L. Additional Settlement Charges (if space is insufficient on page 2 of HUD-1 form) Paid From Paid From s s Funds At Funds At Settlement Settlement Total Additional Settlement Charges Explanations, Re Line No:

5 CERTIFICATION: I have carefully reviewed the HUD-1 Settlement Statement and to the best of my knowledge and belief, it is a true and accurate statement of all receipts and disbursements made on my account or by me in this transaction. I further certify that I have received a copy of the HUD-1 Settlement Statement To the best of my knowledge the HUD-1 Settlement Statement which I have prepared is a true and accurate account of the funds which were received and have been or will be disbursed by the undersigned as part of the settlement of this transaction. Settlement Agent Date WARNING: It is a crime to knowingly make false statements to the United States on this or any other similar form. Penalties upon conviction can include a fine and imprisonment. For details see Title 18 U.S. Code Section 1001 and Section SUBSTITUTE FORM 1099-S, Proceeds from Real Estate Transactions, Tax Year SELLER STATEMENT: The information contained in Blocks E, G, H, I and on line 401 (or if line 401 is asterisked, line 403 and 404) is important tax information and is being furnished to the Internal Revenue Service. If you are required to file a return, a negligence penalty or other sanction may be imposed on you if this item is required to be reported and the IRS determines that it has not been reported. If this real estate was your main home, file Form 2119, Sale of Your Home, with Form 1040 even if you had a loss or you did not replace your home. If the real estate was not your main home, report the transaction on Form 4797, Sales of Business Property, Form 6252, Installment Sale Income, and/or Schedule D, Form 1040, Capital Gains and Losses. You must provide the Settlement Agent (in Block H) with your correct taxpayer identification number. If you do not provide the settlement agent with your correct taxpayer identification number, you may be subject to civil or criminal penalties imposed by law. Under penalties of perjury I certify that the number shown on this statement is my correct taxpayer identification number. ('s signatures) ('s signatures)

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